Hematoma: Understanding Red & Purple Spots - Causes & What to Expect

Yes, hematoma can have red or purple spots in the skin. A hematoma is a collection of blood that has escaped from a damaged blood vessel and pooled in the surrounding tissues. When the blood leaks out of the vessel, it can cause bruising and discoloration of the skin. The color of the bruise will vary depending on the age of the injury. Fresh bruises are usually red or purple, but they will eventually turn blue, green, and then yellow as the body reabsorbs the blood.